<!--container-->
<div class="w1024 bc mt5 clearfix">
    <?php include get_tpl_path('center/doctor_left_nav'); ?>
    <div class="doctor-container fr">
        <div class="prev-case mt25">
            <div class="prev-title pl20">预检病历</div>
            <div class="msg mt10">
                <p>以下由患者提供：挂号登记编号<input type="text" class="input-01 ml10" /></p>
            </div>
        </div>
        <div class="prev-title f14 mt10 pl10">
            <input type="checkbox" class="checkbox-01 ml10 mr5 pr" />主诉
            <input type="checkbox" class="checkbox-01 ml10 mr5 pr" />病症
            <input type="checkbox" class="checkbox-01 ml10 mr5 pr" />实验室检查
            <input type="checkbox" class="checkbox-01 ml10 mr5 pr" />影像学检查
            <input type="checkbox" class="checkbox-01 ml10 mr5 pr" />系统回顾
            <input type="checkbox" class="checkbox-01 ml10 mr5 pr" />既往病史
        </div>
        <div class="msg-box1">
            <p>以下预检由医生提供：</p>
            <p>主诉<input type="text" class="input-01 ml10 mr10" /><a href="javascript:;" class="button-01 vm">修改</a></p>
        </div>
        <div class="mt5 tc">
            <a href="javascript:;" class="button-01 mr20">预览</a>
            <a href="javascript:;" class="button-01 ml20">提交</a>
        </div>
        <div class="msg-box2 mt30">
            <div class="consult pb5">
                查询患者既往咨询记录，用
                <input type="checkbox" class="checkbox-01 ml5 mr5 pr" />主诉
                <input type="checkbox" class="checkbox-01 ml5 mr5 pr" />病症
                <a href="javascript:;" class="button-01 ml10 vm">查询</a>
            </div>
            <div class="pt25">
                <p class="mt5">诊断意见<input type="text" class="input-01 ml10" /></p>
                <p class="mt5">治疗意见<input type="text" class="input-01 ml10" /></p>
            </div>
            <div class="page-box mt10 mr30 tr">
                <span>第</span>
                <a href="javascript:;">1</a>
                <a href="javascript:;">2</a>
                <a href="javascript:;">3</a>
                <a href="javascript:;">4</a>
                <a href="javascript:;">5</a>
                <a href="javascript:;">6</a>
                <span>页</span>
            </div>
        </div>
    </div>
</div>